Decision letter for "General practice nurses' communication strategies for lifestyle risk reduction: A content analysis"

Increasingly, middle-aged people are demonstrating lifestyle risk factors that increase their risk of developing chronic disease. Reducing lifestyle risk in middle age can significantly reduce future morbidity and mortality and improve quality of life. Understanding peoples’ perceptions of health support is important to inform health professionals and policymakers regarding strategies to support lifestyle risk reduction. This paper seeks to explore middle-aged Australians’ perceptions of support for lifestyle risk reduction. Thirty-four middle-aged Australians were interviewed using a semi-structured interview schedule. Interviews were audio-recorded, transcribed and analysed using thematic analysis. The overarching theme ‘support for healthy lifestyles’ comprised three subthemes. ‘Engagement with general practice’ highlighted gender differences in why people attend and what impacts their access to general practice. ‘Providing information’ emphasised participants’ experiences of lifestyle risk communication in general practice. Finally, ‘Sources of support’ revealed participants’ current health advice-seeking behaviours. Findings highlight a need for general practices to better engage middle-aged people in behaviour change and educate them about the role of general practice in prevention and health promotion. Consistent messaging across the community and strategies that focus on gender-specific concerns are likely to ensure that middle-aged people are able to make informed choices about seeking support for lifestyle risk reduction.

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Enhancing behavioral change among lung cancer survivors participating in a lifestyle risk reduction intervention: a qualitative study

Supportive Care in Cancer ◽

10.1007/s00520-018-4631-1 ◽

2019 ◽

Vol 27 (4) ◽

pp. 1299-1308

Author(s):

Darryl Somayaji ◽

Amanda C. Blok ◽

Laura L. Hayman ◽

Yolanda Colson ◽

Michael Jaklisch ◽

...

Keyword(s):

Lung Cancer ◽

Qualitative Study ◽

Cancer Survivors ◽

Risk Reduction ◽

Behavioral Change ◽

Lifestyle Risk ◽

Risk Reduction Intervention ◽

Lifestyle Risk Reduction

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Monitoring Psychosis in General Practice: A Controlled Trial

The British Journal of Psychiatry ◽

10.1192/bjp.169.4.475 ◽

1996 ◽

Vol 169 (4) ◽

pp. 475-482 ◽

Cited By ~ 18

Author(s):

Irwin Nazareth ◽

Michael King ◽

Sharon See Tai

Keyword(s):

General Practice ◽

Risk Reduction ◽

Absolute Risk ◽

Controlled Trial ◽

Intervention Group ◽

Absolute Risk Reduction ◽

Initial Assessment ◽

Global Assessment Scale ◽

Affective Psychosis ◽

Practice Nurses

BackgroundThis trial evaluated the feasibility, acceptability and effectiveness of a structured approach to the management of schizophrenia in general practice.MethodAll patients with non-affective psychosis (mainly schizophrenia) in four inner-city general practices were recruited. A check-list and a set of outcome measures were used by the general practitioner and the practice nurses. Information on attendances at the general practice and psychiatric out-patient departments was also collected.ResultsTwo practices took part in the intervention and two served as control practices. Sixty-seven patients with non-affective psychosis were identified. Thirty-three (81%) of the 41 patients in the two intervention practices attended the initial assessment by the doctor and nurse, but only 13 (32%) attended the first review assessment. The attendance for the second review, after six months, was six out of 15 (40%) in one practice, but rose to 16 out of 18 (89%) in the other practice. Significant improvements were recorded in the intervention group on the Global Assessment Scale (GAS) and the Behaviour, Speech and Other Syndromes (BSO) subscore of the Present State Examination (PSE). The absolute risk reduction and relative risk reduction as a result of the intervention as measured by the GAS scores, was 29% (95% CI 4% to 54%) and 36% (95% CI 5% to 66%), respectively, and in the case of the BSO subscores of the PSE, this was 23% (95% CI – 1.8% to 47.2%) and 28% (95% CI – 2.2% to 57%), respectively. For one patient to show an improvement in GAS and BSO scores 3.5 patients (95% CI 1.85 to 25) and 4.3 patients (95% CI – 55 to 2.1), respectively, would need to receive the intervention. There was a significant increase in consultation rates for patients in the intervention practices.ConclusionsHealth surveillance of patients with non-affective psychosis is possible in general practice.

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Lifestyle risk communication by general practice nurses: An integrative literature review

Collegian Journal of the Royal College of Nursing Australia ◽

10.1016/j.colegn.2018.03.006 ◽

2019 ◽

Vol 26 (1) ◽

pp. 183-193 ◽

Cited By ~ 5

Author(s):

Sharon James ◽

Elizabeth Halcomb ◽

Jane Desborough ◽

Susan McInnes

Keyword(s):

General Practice ◽

Literature Review ◽

Risk Communication ◽

Practice Nurses ◽

Lifestyle Risk

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Barriers and facilitators to lifestyle risk communication by Australian general practice nurses

Australian Journal of Primary Health ◽

10.1071/py20139 ◽

2020 ◽

Author(s):

Sharon James ◽

Elizabeth Halcomb ◽

Jane Desborough ◽

Susan McInnes

Keyword(s):

General Practice ◽

Risk Communication ◽

Barriers And Facilitators ◽

Practice Nurses ◽

Australian General Practice ◽

Lifestyle Risk

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Refined conceptual model for implementing dementia risk reduction: incorporating perspectives from Australian general practice

Australian Journal of Primary Health ◽

10.1071/py19249 ◽

2020 ◽

Vol 26 (3) ◽

pp. 247

Author(s):

Kali Godbee ◽

Jane Gunn ◽

Nicola T. Lautenschlager ◽

Victoria J. Palmer

Keyword(s):

General Practice ◽

Risk Reduction ◽

Conceptual Model ◽

Implementation Strategies ◽

Lessons Learned ◽

Routine Practice ◽

Practice Nurses ◽

Implementing Change ◽

Dementia Risk ◽

Australian General Practice

Dementia is now a global health priority. With no known cure, the best way to reduce the number of people who will be living with dementia is by promoting dementia risk reduction (DRR). However, despite evidence-based guidelines, DRR is not yet routinely promoted in Australian general practice. Previously, we proposed a preliminary conceptual model for implementing DRR in primary care based on our scoping review of practitioners’ views. The present study aimed to refine this model for the Australian context by incorporating the current perspectives of Australian general practitioners (GPs) and general practice nurses (GPNs) about DRR. Interviews with 17 GPs and GPNs were analysed using the framework method, underpinned by the Consolidated Framework for Implementation Research (CFIR). We identified 12 barriers to promoting DRR in Australian general practice, along with five facilitators. Using the CFIR–Expert Recommendations for Implementing Change (ERIC) Matching Tool to select prioritised implementation strategies from the ERIC project, the findings were incorporated into a refined conceptual model. The refined model points to an implementation intervention that uses educational materials and meetings to reach consensus with GPs and GPNs on the importance of promoting DRR and an appropriate approach. Champion GPs and GPNs should be prepared to drive the agreed implementation forward, and general practices should share successes and lessons learned. This model is a crucial step in bridging the gap between DRR guidelines and routine practice.

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